STACEY LYNNE JOHNSON

GRAND FORKS, ND
NPI1902008907
Former NameSTACEY LYNNE KACHUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ND  673)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Mrs. STACEY LYNNE JOHNSON OTR L
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5340
Mailing Address
Mrs. STACEY LYNNE JOHNSON OTR L
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5340
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